Birkwood Village of Fort Madison
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$3,145
Outcome
Birkwood Village of Fort Madison in Fort Madison, IA was fined $3,145 by CMS following 31 deficiency citations identified during federal surveys.
Details
Birkwood Village of Fort Madison (Fort Madison, IA) — $3,145 in CMS Fines
Outcome: Birkwood Village of Fort Madison in Fort Madison, IA was fined $3,145 by CMS following 31 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Ensure that residents are free from significant medication errors.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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